Tri-County Nursing Home

In the surveyor’s words

From the most serious findings on record at Tri-County Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 24, 2022

  Based on observation, interview, and record review, the facility failed to ensure food service equipment were cleaned to prevent a potential cause of foodborne outbreaks. Findings: An observation during an initial walk-through of the kitchen on 2/21/2022 at 10:10 AM with the Certified Dietary Manager (CDM) showed an excessive amount of buildup of grease on 3 of 3 lights located under the hood, the inside metal frame of the hood, and on the back wall area under the hood area, and a buildup of lint/dust debris on 3 of the 3 lights. […]

• No harm, potential for more than minimal, patternF842Apr 9, 2026

  Based on record review and interview, the facility failed to ensure resident records were accurate for 6 of 10 residents reviewed for medication management, Residents #3, #15, #44, #46, #48, and #61, and for 1 of 3 residents reviewed for change in condition, Resident #4.Findings include: 1) Review of Resident #46's physician order dated 8/18/2025 read, Insulin Glargine-yfgn Subcutaneous Solution Pen-injector 100 unit/ml [milliliter] (Insulin Glargine-yfgn), Inject 45 unit subcutaneously two times a day for DM2 [diabetes mellitus type 2] daily @ [at] 0600 [6:00 AM] and 2100 [9:00 PM], Hold if BG [Blood Glucose] less than 100. […]

• No harm, potential for more than minimal, patternF880Nov 7, 2024

  Based on observation, interview, and record review, the facility failed to ensure staff performed hand hygiene while providing direct care to the residents and failed to ensure staff used proper PPE (Personal Protective Equipment) while providing high-contact care to the residents on enhanced barrier precautions to prevent the possible spread of infection and communicable diseases. Findings include: 1) During an observation on 11/4/2024 at 1:05 PM, Staff D, Licensed Practical Nurse (LPN), returned to the medication cart. Without performing hand hygiene, Staff D removed medication for Resident #36 and wheeled Resident #36 to her room. Staff D administered Resident #36's medications in her room and wheeled her back to the hall without performing hand hygiene. […]

• No harm, potential for more than minimal, patternF842Jul 1, 2022

  Based on record review and interview, the facility failed to ensure medication administration records were complete and accurately documented for 2 of 3 of sampled residents, Resident #1 and Resident #6. Findings include: Review of Resident #1's Medication Administration Record [MEDICAL RECORD OR PHYSICIAN ORDER] 12 hours for anxiety, with start date of 1/29/2021; on 6/8/2022 at 6:00 PM, on 6/22/2022 at 6:00 PM, and on 6/28/2022 at 12:00 AM and 6:00 AM, Acetaminophen Extra Strength Tablet 500 milligrams (Acetaminophen), give 2 tablet by mouth every 6 hours for pain, with start date of 10/3/2020; on 6/8/2022 at 6:00 PM, on 6/22/2022 at 6:00 PM, and on 6/28/2022 at 12:00 AM and 6:00 AM, [MEDICATION(S)] HCI Tablet 15 milligrams, give 1 tablet by mouth every 6 hours for pain, with start date… […]

• No harm, potential for more than minimal, isolatedF692Nov 7, 2024

  Based on observation, interview, and record review, the facility failed to ensure residents received nutritional supplements for 1 (Resident #62) of 2 residents reviewed for nutrition. Findings include: During an observation on 11/5/2024 at 12:12 PM, Resident #62 was eating lunch in the dining room. Resident #62's meal tray had carrots, bowtie pasta, beef tips, cake, and coffee. There was no nutritional shake on the meal tray. After a few minutes, Resident #62 stood up and stated she could not eat any more and left to her room. Resident #62 consumed approximately 25% of her meal. During an observation on 11/6/2024 at 8:20 AM, Resident #62 was eating breakfast in the dining room. Resident #62's meal tray had coffee, toast, bacon, scrambled eggs, and grits. […]